Application For The Exemption Of Real Estate Form
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1City of Troy, Oakland County Michigan
APPLICATION FOR THE EXEMPTION OF REAL ESTATE
APPLICANT:
Present this application along with Deed or Land Contract, Articles of Incorporation, By-laws,
Federal and State Exemption Certificate(s), Balance Sheet, Revenue Sources.
TO THE ASSESSOR OF THE CITY OF TROY:
We, the undersigned, respectfully request the exemption of the following property, located in the City
of Troy, the same being owned by the undersigned, and being used for
Religious ________, Charitable _______, Scientific ______, Educational _____, or ____________
Name___________________________________________________________________
Address # ____________________ Street ______________________
Suite ________
Parcel ID # __________________________
The following questions must be answered:
Date of Purchase____________________
Price__________________________
Warranty Deed _________Land Contract ____________ Other_____________________
Owner Name on Recorded Document __________________________________________
Is the owner Corporation Incorporated as a Non-Profit? ______
What is the current use of the Property? ________________________________________
Do you intend to sell the property, or any portion of it? _________If so, when? __________
*You must notify this office of the sale of this or any other property belonging to this entity in the City
of Troy, which is now exempt.
The above is, to the best of my knowledge and judgment, a true and correct statement
of the facts concerning the above described property.
_____________________________________________
(Applicant or Representative’s Signature)
Subscribed and sworn to before me this _____ (day of) ___________ (month), _______ (year)
My Commission Expires ________
__________________________________
Notary Public, ___________ County
_ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ (Office use below this line) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
RECOMMENDATION:____________________________________________________
_____________________________________
_____________________________
Assessor
Date
*After completing the application, print a copy. Have an authorized representative’s signature
notarized. Then submit the application with all requested documentation to: Assessing Department
City of Troy, 500 W. Big Beaver, Troy, MI. 48084
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